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Virginia rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.69 / $11.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $8.88 / $14.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.96 / $4.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.29 / $9.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.59 / $8.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $6.63 / $13.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.19 / $8.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.19 / $8.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $20.10 / $20.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.55